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从80~90年间共收治乳腺癌病人394例,全部女性,单纯手术组3、5、10年生存率74.4%、60.7%、31.3%。83~86前后,随机选取乳腺癌患者术中化疗57例,3、5、10年生存率:89.5%、75.4%、49.1%。术后化疗62例3、5、10年生存率:88.7%、75.8%、48.4%。结果显示:术中术后化疗5、10年生存率明显高于单纯组(P<0.01)术中化疗5、10年生存率和术后化疗组无统计学差异。单纯手术组、术中化疗组、术后化疗组五年复发率24.8%、12.2%、17.7%,结果术中化疗组5年复发率低于术后和单纯手术组,差异有显著性(P<0.05)。临床研究证实,术中化疗对Ⅱ、Ⅲ期乳癌患者的预后复发有重要意义。
From 1980 to 1990, a total of 394 cases of breast cancer patients were treated. All women had a survival rate of 74.4%, 60.7%, and 31.3% for the 3, 5, and 10 years of the surgery alone group. Before and after 83 ~ 86, 57 patients were randomly selected for intraoperative chemotherapy for breast cancer. The survival rates at 3, 5, and 10 years were 89.5%, 75.4%, and 49.1%. Postoperative chemotherapy in 62 cases of 3,5,10 years survival rate: 88.7%, 75.8%, 48.4%. The results showed that the 5-year and 10-year survival rates of intraoperative and postoperative chemotherapy were significantly higher than those of the simple group (P<0.01). The 5-year and 10-year survival rates of intraoperative chemotherapy and postoperative chemotherapy groups were not statistically different. The five-year recurrence rates in the surgery alone group, the intraoperative chemotherapy group, and the postoperative chemotherapy group were 24.8%, 12.2%, and 17.7%. The 5-year recurrence rate of the intraoperative chemotherapy group was lower than that of the postoperative and surgery alone group. The difference was significant (P < 0.05). Clinical studies have confirmed that intraoperative chemotherapy has important implications for the prognosis of patients with stage II and stage III breast cancer.